Ephraim McDowell Regional Medical Center Incorporated
Organization Active NPI Community/Retail Pharmacy · Danville, KY
NPI 1306922018 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1306922018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P06491 (KY)
- Legal business name
- EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
- Practice address
- 217 South Third Street
Outpatient Pharmacy
Danville, KY 40422 - Phone
- (859) 239-1706
- Fax
- (859) 239-6759
- NPI assigned
- Oct 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- EPNHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Authorized official
- Name
- Sarah B Vickey, PHARM.D.
- Title
- Pharmacy Manager
- Phone
- (589) 239-1706
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 13
Practitioners 41
-
Natalee L Neikirk, APRN
-
Aslam M Ahmad, MD
-
Adam Bryant, M.D.
-
Victoria Elaine Cammack, APRN
-
Jonathan Clark, M.D.
-
Jordan Lee Clay, MD
-
Joshua Reed Crum, D.O.
-
Brian E Ellis, M.D.
-
Shawn Flynn, MD
-
Charles Gary Grigsby Jr., M.D.
-
Donald L Hamner, M.D.
-
Buddy Hurt, DO
-
Megan Marie Kegley, APRN
-
Frank A Koroluk, PA
-
Todd Francis Lackney, D.O.
-
Christina Michelle Leber, APRN, FNP-C
-
Lindsay B Medley, APRN, DNP
-
Tariq Muhammad, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130925000571 | KY | DME Supplier - Pharmacy |
3375506447 | Practice locations: Danville, KY |
| O20131213000171 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375506447 |
Receives reassigned benefits from 1 practitioner Practice locations: Danville, KY |
National Provider Directory
- Tax ID family
- Ephraim McDowell Reg Me
- Part of
- Ephraim McDowell Reg Me
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Community/Retail Pharmacy | 3336C0003X | P06491 | KY | Yes |
Addresses
Primary practice location
217 South Third Street
Outpatient Pharmacy
Danville, KY 40422
Mailing address
217 South Third Street
Outpatient Pharmacy
Danville, KY 40422
Phone (859) 239-1706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1814474 | Other | NABP | |
| P06491 | Other | KY | PHARMACY LICENSE |
| 5403145500 | Medicaid | KY |
Other names
- Ephraim McDowell Regional Medical Center Outpatient Pharmacy
Other providers in Danville, KY
- Ephraim McDowell Health Resource, Inc.
- Ephraim McDowell Health Resource, Inc.
- Ephraim McDowell Health Resource,Inc
- Ephraim McDowell Hospital
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
All providers in Danville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.